Individual
SAMANTHA SHEPPEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18417 SE OAK ST, PORTLAND, OR 97233-4850
(971) 727-8026
Mailing address
33563 CANAAN RD, DEER ISLAND, OR 97054-9739
(503) 702-6920
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
07/23/2025
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